Individual provider Active NPI

Li Zhang, MD

  • Pediatrics Physician
  • Kearny, NJ
National Provider Identifier
1013089457
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07574100 Issued in NJ
Practice address
232 Belleville Tpke
Kearny, NJ 07032-3203
Phone
(201) 998-3020
Fax
(201) 998-0021
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA07574100 NJ Primary

Addresses

Primary practice location

232 Belleville Tpke
Kearny, NJ 07032-3203

Mailing address

232 Belleville Tpke
Kearny, NJ 07032-3203
Phone (201) 998-3020

Other identifiers 1

IdentifierTypeStateIssuer
0030449MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809001151 NJ Practitioner - Pediatric Medicine 0749252971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC Pediatrics Current Accepting new patients
Primary Care Partners, LLC CurrentSince May 1, 2023 Accepting new patients
Primary Care Partners, LLC CurrentSince May 1, 2023 Accepting new patients
Primary Care Partners LLC Pediatrics PastSince Apr 9, 2023 Accepting new patients

Locations

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

Interoperability endpoints

  • Direct secure messaging: lizhang@1032.mdlanddirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1013089457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 BELLEVILLE TPKE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323203",
            "telephone_number": "201-998-3020",
            "fax_number": "201-998-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BELLEVILLE TPKE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323203",
            "telephone_number": "201-998-3020",
            "fax_number": "201-998-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "LI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07574100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030449",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

Verify at the official NPI Registry.